Custom Bill of Lading-4

1 SPECIAL INSTRUCTIONS:HAZARDOUS MATERIALS EMERGENCY CONTACT:CARRIER LIABILITY: Carrier s maximum liability is the lesser of either $ per pound per package or the lesser of the repaircost, the depreciated value or the replacement costs, subject to a maximum liability of $125, per shipment regardless ofthe actual value of the goods transported, unless the shipper declares excess value on the bill of lading , requests excess liabilitycoverage and pays an additional charge. Other liability limitations and restrictions may apply and are found in Custom s RulesTariff and Service Conditions. Any shipment valued at more than $ per pound is of extraordinary - Where the rate and carrier s liability for loss or damage may be dependent on value, shippers must state specificallyin writing the agreed or declared value of the property as follows: The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding $_____per _____.

2 The Declared Value quote number is _____. If the value or Declared Value quote number is omitted, the shipment will be subject to the lesser of the lowest actual or releasedvalue in NMFC 100 Series or the value set forth in item 380 of Custom s Rules Tariff and Service certifies that it understands that all transportation by Custom and its affiliates shall be subject to the Uniform bill ofLading Terms and Conditions and Custom s Rules Tariff and Service Conditions, as amended from time to time. Shipper, foritself and its assigns, acknowledges receipt of said Rules Tariff and Service Conditions, certifies that it has reviewed andunderstood the same and agrees to all terms and conditions contained SIGNATURE (DRIVER):TRAILER NO:SHIPPER:DATE:AUTHORIZED SIGNATURE (SHIPPER).

3 SHIPPER COPYTHANK YOU FOR CHOOSING CUSTOMTHIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED,MARKED, AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO THE APPLICABLEREGULATIONS OF THE DEPARTMENT OF to section 7 of the terms and conditions, if this shipment is to be delivered to the consignee, without recourse on theconsignor, the consignor shall make the following statement: The carrier may decline to make delivery of this shipment without payment of freight and all other lawful charges. _____(Signature of Consignor)TOTAL PIECESTOTAL PALLETSTOTAL WEIGHTPREPAIDCOLLECTSCAC CODE: CTBVDATETHANK YOU FOR CHOOSINGTHE Custom COMPANIES, PRO LABEL HERETOTAL # OF PALLETS HAZDESCRIPTIONNMFC (lbs) AMOUNTBILL OF lading ORDER 9001:2008 The Full Service Transportation CompanyCustom Transport, Inc.

4 MC186482 Contact Custom by visiting our PARTY bill TOUNLESS OTHERWISE NOTED, FREIGHT CHARGES WILL BE CONSIDERED PREPAIDSTRAIGHT bill OF lading ORIGINAL NOT NEGOTIABLEDATE:THIRD PARTY BILLINGPROVIDE COMPLETEINFORMATIONR eceived, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications, and Custom s Rules Tariff and Service Conditions, as amended from time to time,that have been established by the carrier and are available to the shipper, on request, which are incorporated herein by this reference, and to all applicable state and federal regulations, the property described below, in apparent good order, except as noted (contentsand condition of contents of packages unknown)

5 Marked, consigned, and destined as shown hereon, which said carrier agrees to carry to destination, if on its route, or otherwise deliver to another carrier on the route to destination. Every service to be performed hereundershall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof or otherwise referenced. Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions and thatthe said terms and conditions are hereby agreed to by the shipper and accepted for himself and his , signature hereon authorizes fax communication from Custom and its , signature hereon authorizes fax communication from Custom and its INSTRUCTIONS:HAZARDOUS MATERIALS EMERGENCY CONTACT:CARRIER LIABILITY.

6 Carrier s maximum liability is the lesser of either $ per pound per package or the lesser of the repaircost, the depreciated value or the replacement costs, subject to a maximum liability of $125, per shipment regardless ofthe actual value of the goods transported, unless the shipper declares excess value on the bill of lading , requests excess liabilitycoverage and pays an additional charge. Other liability limitations and restrictions may apply and are found in Custom s RulesTariff and Service Conditions. Any shipment valued at more than $ per pound is of extraordinary - Where the rate and carrier s liability for loss or damage may be dependent on value, shippers must state specificallyin writing the agreed or declared value of the property as follows: The agreed or declared value of the property is hereby specifically stated by the shipper to be not exceeding $_____per _____.

7 The Declared Value quote number is _____. If the value or Declared Value quote number is omitted, the shipment will be subject to the lesser of the lowest actual or releasedvalue in NMFC 100 Series or the value set forth in item 380 of Custom s Rules Tariff and Service certifies that it understands that all transportation by Custom and its affiliates shall be subject to the Uniform bill ofLading Terms and Conditions and Custom s Rules Tariff and Service Conditions, as amended from time to time. Shipper, foritself and its assigns, acknowledges receipt of said Rules Tariff and Service Conditions, certifies that it has reviewed andunderstood the same and agrees to all terms and conditions contained SIGNATURE (DRIVER):TRAILER NO:SHIPPER:DATE:AUTHORIZED SIGNATURE (SHIPPER).

8 THANK YOU FOR CHOOSING CUSTOMTHIS IS TO CERTIFY THAT THE ABOVE NAMED MATERIALS ARE PROPERLY CLASSIFIED, DESCRIBED, PACKAGED,MARKED, AND LABELED AND ARE IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO THE APPLICABLEREGULATIONS OF THE DEPARTMENT OF to section 7 of the terms and conditions, if this shipment is to be delivered to the consignee, without recourse on theconsignor, the consignor shall make the following statement: The carrier may decline to make delivery of this shipment without payment of freight and all other lawful charges. _____(Signature of Consignor)TOTAL PIECESTOTAL PALLETSTOTAL WEIGHTPREPAIDCOLLECTSCAC CODE: CTBVDATETHANK YOU FOR CHOOSINGTHE Custom COMPANIES, PRO LABEL HERETOTAL # OF PALLETS HAZDESCRIPTIONNMFC (lbs) AMOUNTBILL OF lading ORDER 9001:2008 The Full Service Transportation CompanyCustom Transport, Inc.

9 MC186482 Contact Custom by visiting our PARTY bill TOUNLESS OTHERWISE NOTED, FREIGHT CHARGES WILL BE CONSIDERED PREPAIDSTRAIGHT bill OF lading ORIGINAL NOT NEGOTIABLEDATE:THIRD PARTY BILLINGPROVIDE COMPLETEINFORMATIONR eceived, subject to individually determined rates or contracts that have been agreed upon in writing between the carrier and shipper, if applicable, otherwise to the rates, classifications, and Custom s Rules Tariff and Service Conditions, as amended from time to time,that have been established by the carrier and are available to the shipper, on request, which are incorporated herein by this reference, and to all applicable state and federal regulations, the property described below, in apparent good order, except as noted (contentsand condition of contents of packages unknown)

10 Marked, consigned, and destined as shown hereon, which said carrier agrees to carry to destination, if on its route, or otherwise deliver to another carrier on the route to destination. Every service to be performed hereundershall be subject to all the conditions not prohibited by law, whether printed or written, herein contained, including the conditions on the back hereof or otherwise referenced. Shipper hereby certifies that he is familiar with all the bill of lading terms and conditions and thatthe said terms and conditions are hereby agreed to by the shipper and accepted for himself and his , signature hereon authorizes fax communication from Custom and its , signature hereon authorizes fax communication from Custom and its COPYUNIFORM bill OF lading TERMS AND CONDITIONSSec.